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Certification Review Unit 1
Certification Review Unit 1
96 terms
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1
The appendiceal stump, when inverted, is held in place by what type of suture
traction
interrupted
mattress
purse string
2
All are types of white blood cells EXCEPT
astrophytes
neutrophils
lymphocytes
monocytes
3
What is a normal white blood cell count in an adult
1000-4000
3000-8000
5000-10,000
10,000-15,000
4
In electrosurgery, the active electrode is the
ESU power source
electrosurgical wave
contact point at the tissue
conductive cable
5
Does early ambulation have a positive effect on would healing?
yes
no
6
What is a stick tie
free tie
none of the above
suture with needle attached
tie on a passer
7
A minor break in technique would have which wound classification
II
III
I
IV
8
After the dispersive electrode is removed, the skin is examined for
cleanliness
excessive adhesive
bruises
burns
9
A surgical wound that is sutured together heals by
granulation
inflammatory means
second intention
primary intention
10
What type of external dressing would be used to eliminate dead space
immobilizing
pressure
bulky
packing
11
Autologous refers to
your own blood
blood products
recipient blood
synthetic blood produce
12
The difference between bipolar and monopolar electrosurgery is
one is bigger than the other
bipolar, the current is contained between the tips
monopolar is only used for coagulating
monopolar is only used for cutting
13
During which phase of healing is the scab formed
secondary
inflammatory
remodeling
proliferation
14
Surgeon is preparing to close the abdomen. What should CST have ready for suture of the fascial layer
0 suture and toothed tissue forceps
7-0 vicryl and toothed tissue forceps
staples with adsons with teeth
retention sutrue and toothed tissue forceps
15
Another name for intraluminal stapler
GIA
EEA
LDS
TA
16
Who is universal plasma donor
B
O
AB
A
17
Who is the universal blood donor
AB
O negative
B
A
18
A lipoma was filled with non-purulent serosanguineous fluid. What would class for this procedure
clean contaminated
contaminated
dirty-infected
clean
19
another name for scar
keloid
fibrin
hydrocolloid
infection
20
What type of scalpel uses ultasonic engery to cut and coagulate tissue
fulgeration
hemostatic
harmonic
plasma
21
The lab test that determins the ratio of erythrocytes to whole blood is
hemoglobin
differential count
hematocrit
reticulocyte count
22
Proximal is a term that indicates
in the center of the body
towards the head
away from the body
nearer the body
23
Which is a mechanical means of hemostasis
electrosurgery
thrombin
laser
ligature
24
Which is an antiseptic packing material that is placed in wounds
surgicele
xeroform
gelfoam
iodoform
25
Which is a curved transverse incision across lower abdomen
Pfannenstiel
midline
paramedian
McBurney's
26
Which of the following is the wound classification for a bronchoscopy
I
IV
III
II
27
What is collected from donors that contains plasma and red blood cells, including all of the clotting factors
packed red blood cells
platelets
whole blood
plasma
28
Clean cut wounds are defined as
puncture
contused
lacerated
incised
29
A grounding pad is not required for the
bipolar unit
coagulation current setting
cutting current setting
monopolar unit
30
Immediately after passing a skin knife to surgeon, what will most likely be needed next
sponges and stapler
irrigation and suction
hemostat and a ligature
cautery and forceps
31
Which is a nonadherent dressing
elastoplast
kling
adaptic
collodion
32
Which incision is oblique
epigastric
kocher
pfannenstiel
paramedian
33
Another name for electrosurgical unit's patients return electrode
handpiece
generator
foot pedal
grounding pad
34
Which wound class would be assigned if the bowel was accidently perforated during a procedure
IV
I
II
III
35
Second intention wound heals by
primary union
evisceration
granulation
delayed suturing
36
Cross-matching of blood
determines Rh facor of patient and donor
determins blood group of donor
determines suitability of donor and recipient
determines blood type
37
Blood oxygenation can be monitored during surgery by
arterial catheter
CVP catheter
pulse oximeter
blood pressure monitor
38
The Pfannenstiel incision is a lower transverse incision
True
False
39
albumin, globulin and fibrinogen are
coagulation factors
plasma proteins
hematopoietic growth factors
formed elements of blood
40
When stapling skin, the staples will go through which 2 layers
subcuticular and subcutaenous
cuticular and subcuticular
subcuticular and subcutaneous
subcutaneous and fascia
41
Agent used to expand blood plasma volume
dextran
demerol
duramorph
diprivan
42
Which could effect normal wound healing
peripheral vascular disease
penicillin allergy
skin prep
clean wound
43
The electrical current in the bovie is channeled back to the generator by the
active electrode
dispersive electrode
patient
power source
44
Air or fluid accumulation due to poor approximation of tissue could result in
dead space
ischemia
proud flesh
evisceration
45
A blood exam that estimates the percentages of each type of WBC with in the sample is called
platelet count
differential blood count
erthyrocyte count
plasma cell count
46
The test used to determine the total number of WBC in your blood is
white blood cell count
platelet count
ABG
CBC
47
If surgeon requests gelfoam soaked with Thrombin, the method of hemostasis is
chemical
thermal
electrical
mechanical
48
Another name for a scrape is
contusion
open wound
abrasion
laceration
49
The surgical incision that allows for the BEST visualization for a colon procedure is
subcostal
Pfannenstiel
McBurney's
midline
50
Where is the Kocher incision
oblique incision in upper quadrant
oblique incision lower quadrant
used for appendectomy
transverse incision lower abdomen
51
The inactive electrode of the cautery is the
electrocautery pencil
grounding pad
blade tip
cable connecting pad to pencil
52
Which wound is MOST likely in the inflammatory phase of wound healing
shoulder surgery, 1 week post op
ORIF 2 weeks post op
laparotomy incision with a cicatrix
abdominal incision, 20 minutes post-closure
53
A properly grounded electrocautery unit is characterized by movement of
neutrons
electrons
protons
ions
54
A swedged on needle is a free needle
True
False
55
When would a CST expect to use cottonoids
mastectomy
lumbar laminectomy
open cholecystectomy
abdominal hysterectomy
56
A Keith needle is a cutting needle
true
false
57
Which is a flat sponge with a string attached that is used for neurosurgery and vascular surgery
kittner
cottonoid
ray-tec
peanut
58
Stapler used in GI surgery to insert 2 straight, staggered evenly spaced parallel rows of staples into tissue
dissecting
linear
fascia
intra-luminal
59
What instrument do we use for a tie on a passer
peon
hemostat
needleholder
allis
60
Ischemic can be defined as
decreased supply of oxygenated blood to a body part or organ
painful sensation
pain impulses to hip bone
sharp body projection of the pelvis
61
A left subcostal incision indicates surgery of the
spleen
common bile duct
pancreas
gallbladder
62
It is acceptable to transfuse blood to a family that is a member of the religion Jahova's Witness
False
True
63
Term for low blood volume
hypovolemia
hypokalemia
hypervolemia
hypoglycemia
64
Mixing of incompatable blood may result in
agglutination
infectious hepatitis
hyperglycemia
leukocytosis
65
What blood cell has the function of oxygen transportation
White blood cell
fibrinogen
Red blood cell
blood plasma
66
When is the cell saver contraindicated
when bacteria is present
when anticoagulants are used
all of the above
when there is a malignancy
67
hemostasis means to
bypass a vessle
arrest blood flow
maintain within normal limits
create blood flow
68
How do you cut suture on a vessel
long
on the knot
69
Report from PACU that patient is bleeding at surgical site. What would be suspect to occur if the issue is not resolved
evisceration
hematoma
dehiscence
adhesion
70
The oxygen carrying capacity of the red blood cells is a function of
hematocrit
hemoglobin
albumin
prothrombin
71
If unexpected heavy blood loss occurs during an abdominal procedure, a CST should request
kittners
ABD
raytec
laps
72
If you are Rh positive
you CANNOT recieve O negative blood
you can donate blood to all patients
you do NOT have the antigen on the surface of red blood cells
you DO have the antigen found on red blood cells
73
Penrose is an active drain
True
False
74
Blood gas analysis is called
ABG
SAT rate
BGA
ABO
75
Surgeon asks for a active negative pressure drain. Which would be an option
penrose
hemovac
mallecot
fogarty
76
Which unit would allow precise control of the coagulated area
monopolar
bovie
blended
bipolar
77
Which is the second phase in first intention healing
maturation
proliferation
contraction
lag
78
Patient is admitted to surgery with a ruptured appendix. Which wound class would this be
clean contaminated
contaminated
dirty-infected
clean
79
What term means the rupture of a wound with protrusion of abdominal contents
evisceration
herniation
disruption
dehiscence
80
CST is preparing the room for a splenectomy. Which piece of equipment should be available
Cell Saver
BiPap
C-arm
Stirrups
81
Transverse colectomy is incised through which incision
throacoabdominal
upper midline
paramedian
oblique
82
Which tissue should be cut using a Mayo Scissor
dura mater
periosteum
facsia
arterial wall
83
Which closed wound drainage device requires being connected to a bulb evacuator
stryker
hemovac
pleuro-vac
jackson-Pratt
84
Which is true regarding Avitene
form of mechanical hemostatic used on bone
gelatine sponge soaked in thrombin
collegen powder that must be kept dry
must be reconstituted with saline before use
85
Which is considered a one layer dressing
bulky
pressure
rigid
steri-strips
86
What gives blood it's red color
neutrophils
hemoglobin
platelets
hematocrit
87
platelets are essential for
carrying oxygen
combating histamine effect
coagulation of blood
controlling infection
88
Type and cross match of blood is done on all surgical patients
True
False
89
Homologous refers to
donated blood
synthetic blood products
one's own blood
blood products
90
Which of the following is a phase of first intention healing
granulation
contraction
maturation
chronic
91
Items that are impenetrable to xrays are described as
radiopaque
radioactive
radiotransparent
radioresistant
92
Blood or fluids can be quickly delivered to a patient via
rapid infuser pump
SARA
Doppler
bair hugger
93
The proliferation phase if wound healing includes
phagocytosis
excessive granulation tissue
collagen secretions
increase capillary permeablity
94
The universal donor blood that may be given in extreme emergencies until patient can be cross-matched is
A
B
O
AB
95
McBurney's is a muscle-splitting incision.
False
True
96
The process by which blood cells are formed is known as
hemopoiesis
diapedesis
erythropoiesis
leukocytosis